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Difference between revisions of "Long-Term Care Placements"

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* whether the preferred facility can meet their care needs.
* whether the preferred facility can meet their care needs.


Typically, people with the highest risk level are given priority.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.C, 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
Typically, people with the highest risk level are given priority.([[{{PAGENAME}}#References|1]]) Veterans Affairs Canada also designate priority access beds([[{{PAGENAME}}#References|2]]).
</ref> Veterans Affairs Canada also designate priority access beds<ref>Canada, ”Long-term Care” (last modified February 8, 2019), online: &lt;www.veterans.gc.ca/eng/housing-and-home-life/long-term-care&gt;; British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
</ref>.


Facility operators will provide the case manager with an opinion on whether their facility can meet the needs of the prospective resident.
Facility operators will provide the case manager with an opinion on whether their facility can meet the needs of the prospective resident.
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* a care plan that meets their needs while waiting for access; and
* a care plan that meets their needs while waiting for access; and
* an increase in availability and flexibility of community health services, where required.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.</ref>
* an increase in availability and flexibility of community health services, where required.([[{{PAGENAME}}#References|3]])
 


===Placement Offers===
===Placement Offers===


When an appropriate facility becomes available, the case manager will contact the adult or their representative to offer a placement. There is only a very short time to accept or decline the offer and move in –– 48 hours if it is a space in one of the person’s preferred facilities, and 72 hours if it is in a temporary interim facility. This means that the decision is often made quickly.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
When an appropriate facility becomes available, the case manager will contact the adult or their representative to offer a placement. There is only a very short time to accept or decline the offer and move in –– 48 hours if it is a space in one of the person’s preferred facilities, and 72 hours if it is in a temporary interim facility. This means that the decision is often made quickly.([[{{PAGENAME}}#References|4]])
</ref>


Therefore, it is important to be well informed and prepared in advance for this decision. This includes planning for the move during the waiting period, which may involve downsizing significantly, arranging ongoing medical care, organizing finances, and learning about the potential consequences of accepting or declining the placement offered.
Therefore, it is important to be well informed and prepared in advance for this decision. This includes planning for the move during the waiting period, which may involve downsizing significantly, arranging ongoing medical care, organizing finances, and learning about the potential consequences of accepting or declining the placement offered.
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===3.6.3 Interim Placement Offers===
===3.6.3 Interim Placement Offers===


Your waitlist date will be the date you choose your preferred care home. You will maintain your position on the waitlist regardless of where you are waiting. An adult may accept an interim placement without impacting their waitlist date.<ref>British Columbia, ”Long-Term Care Services”, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/care-options-and-cost/long-term-care-services&gt;.
Your waitlist date will be the date you choose your preferred care home. You will maintain your position on the waitlist regardless of where you are waiting. An adult may accept an interim placement without impacting their waitlist date.([[{{PAGENAME}}#References|5]])
</ref>


The Ministry of Health’s Home and Community Care Policy Manual requires health authorities to:
The Ministry of Health’s Home and Community Care Policy Manual requires health authorities to:
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* decline an interim placement with no penalty;
* decline an interim placement with no penalty;
* ensure a client maintains their place on the waitlist for their preferred care homes while waiting for admission, even if they move into an interim care home; and
* ensure a client maintains their place on the waitlist for their preferred care homes while waiting for admission, even if they move into an interim care home; and
* manage a client’s requested transfer to a preferred care home fairly when the client has accepted temporary placement in an interim facility.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.</ref>
* manage a client’s requested transfer to a preferred care home fairly when the client has accepted temporary placement in an interim facility.([[{{PAGENAME}}#References|6]])


If a person is in hospital and declines an offer of interim or preferred long-term care placement they will be charged a daily rate for hospital acute care while they remain in hospital.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
If a person is in hospital and declines an offer of interim or preferred long-term care placement they will be charged a daily rate for hospital acute care while they remain in hospital.([[{{PAGENAME}}#References|7]])
</ref>


If a person declines placement in an interim or a preferred facility, they will be advised of other care options, including subsidized care, private care, and family caregivers. If they are declining because they want to change their preferred facility, their waitlist date will be changed to the date of the change.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
If a person declines placement in an interim or a preferred facility, they will be advised of other care options, including subsidized care, private care, and family caregivers. If they are declining because they want to change their preferred facility, their waitlist date will be changed to the date of the change.([[{{PAGENAME}}#References|8]])
</ref>


If a person living in an interim long-term care facility decides they wish to remain at this interim facility, they can decide to do so and be removed from the waitlist for their previous preferred facilities.<ref>British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: &lt;www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual&gt;.
If a person living in an interim long-term care facility decides they wish to remain at this interim facility, they can decide to do so and be removed from the waitlist for their previous preferred facilities.([[{{PAGENAME}}#References|9]])
</ref>


<references />
==References==
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.C, 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# Canada, ”Long-term Care” (last modified February 8, 2019), online: <www.veterans.gc.ca/eng/housing-and-home-life/long-term-care>; British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# British Columbia, ”Long-Term Care Services”, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/care-options-and-cost/long-term-care-services>.
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.
# British Columbia, Ministry of Health, ''Home and Community Care Policy Manual,'' (6 February 2023) at ch 6.D, online: <www2.gov.bc.ca/gov/content/health/accessing-health-care/home-community-care/accountability/policy-and-standards/home-and-community-care-policy-manual>.


==References==


{{REVIEWED | reviewer = Seniors First BC, February 2024}}
{{REVIEWED | reviewer = Seniors First BC, February 2024}}
{{Navigating Home Care and Senior Housing: An Advocacy Guide Navbox}}
{{Navigating Home Care and Senior Housing: An Advocacy Guide Navbox}}